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The Care Management Social Worker is responsible for managing care for high-risk members with chronic behavioral and health conditions, collaborating with members, caregivers, physicians, and the healthcare team to ensure timely access to necessary care, continuity across all settings, shared decision-making, and connections to supportive services and community resources. Under a Social Worker II, they offer essential support and guidance to patients and families as they navigate wellness within the OU Health. The Social Worker II works closely with the interdisciplinary care team to coordinate patient care across the continuum, ensuring access to adequate resources and services.

Essential Responsibilities

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Assess assigned patients’ unique conditions by combining data from medical diagnoses, chart reviews, personal interviews, and care teams.

•  Provides social services to patients and their families for an assigned medical service

• Provides or supervises plan of care interventions to include resource and referral help, crisis intervention, prevention, education, patient advocacy, bereavement, therapy, and counseling as appropriate. Partners with the healthcare team and involves the patient and family in the development and implementation of plans.

• Provides patients and family education regarding diseases, treatments, social or financial situations, emotional stress and/or other problems

• Monitors care to evaluate progress towards goals and institutes appropriate interventions as needed

• Conducts high risk screening and provides crisis counseling, education and resources to patient and families regarding abuse or neglect, physical abuse, etc. and documents these sessions.

• Acts as a liaison between patients/families and the clinical staff and other agencies

• Advocate for patient concerns and escalate ethical dilemmas through the appropriate channels.

• Completes applicable reports bases on mandated reporting requirements.

• Precepts newly hired staff member. Provides field instructor services to schools of social work for the purpose of training bachelor and master’s program intern to the hospital or health care setting.

• Drives performance improvement initiatives to include data collection and research, development, and participation in continuing education programs

• Maintains an open, approachable manner treating others fairly and respectfully preserving self-confidence and dignity as well as show regard for their opinion

• Lead Care Management team meetings and interdisciplinary rounds.

• Assists with projects as assigned.

• Complete Leadership academy as assigned.

• Commitment to continuing education and professional development. 

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications

Education Requirements: Master of Social Work from an accredited institution required.

Experience Requirements: At least 3 years of social work experience.  

License/Certification/Registration Requirements: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Work (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers. Current Basic Life Support certification from the American Heart Association required

Knowledge/Skills/Abilities Required

• Knowledge of the principles and practices of casework.

• Knowledge of community resources.

• Analytical skills sufficiently strong to interpret situations and determine the appropriate course of action.

• Ability to explain information in a way that patients, families, and staff can understand.

• Good interpersonal skills.

• Strong knowledge of healthcare regulations, including CMS guideline. 

• Serve as liaison between patients, families, and healthcare providers. 

• Strong communication, interpersonal, and leadership skills.

• Detailed oriented with excellent organizational skills.

• Commitment to foster a culture of continuous learning, quality improvement, and patient-centered care.

• Strong assessment, critical thinking, and problem-solving skills. 

• Ability to assess, diagnose and treat mental health conditions through providing counseling services.

• Basic leadership skills and knowledge.

• Strong ethical standards and professional integrity; knowledge of Code of Ethics.

• Ability to handle emotional charged situations with compassion and professionalism.

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.